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CERTIFICATION <br />The Applicant, Phillips County (print applicant/company name), <br />by K. Joe Kinnie (print representative's name), as County Commissioner (print <br />representative's title), does hereby certify that Schneller Enterprises (structure owner) shall <br />be compensated for any damage from the proposed mining operation to the above listed structure(s) <br />located on or within 200 feet of the proposed affected area described within Exhibit A, of the Reclamation <br />Permit Application for Schneller Clay Pit (operation name), <br />File Number M -1 989- 095 . <br />This form has been approved by the Colorado Mined Land Reclamation Board pursuant to its <br />authority under the Colorado Land Reclamation Act for the Extraction of Construction Materials and <br />the Colorado Mined Land Reclamation Act for Hard Rock, Metal, and Designated Mining Operations. <br />Any alteration or modification to this form shall result in voiding this form. <br />NOTARY FOR PERMIT APPLICANT <br />ACKNOWLEGED BY: <br />Applicant &1/410S Representative Name ce e�� y <br />Date 7— /7 -- i Title , <br />STATE OF <br />ss. <br />COUNTY OF <br />The foregoing was acknowledged before me this /7 day of , 20, by <br />as ��L 11t7197�6S /DYILr of �O <br />My Commission Expires: zgZQ 4 z2D16 <br />Notary Public <br />RANDALL D. SCHAFER <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 19954016062 <br />MY COMMISSION EXPIRES 1210612016 <br />